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KMID : 0882420080750050569
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Korean Journal of Medicine
2008 Volume.75 No. 5 p.569 ~ p.573
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A case of intrahepatic sarcomatoid cholangiocarcinoma with huge right ventricular tumor thrombus
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Hong Kyoung-Sup
Kim In-Kyoung
Lee Jae-Kyung
Kim Jin-Won
Kim Hae-Ryoung
Hwang Jin-Hyuk
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Abstract
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A 69-year-old female patient presented with a huge liver mass at another hospital. Computed tomography (CT) revealed
a huge, well-demarcated, low-attenuated mass in the right lobe of the liver and multiple nodules in both lungs. The liver
mass invaded the colon at the hepatic flexure and infiltrated into the retroperitoneum. Spiral CT revealed a huge tumor
thrombus in the right ventricle (RV). The enhancement pattern of the right ventricular mass was identical to that of the
liver mass. After ultrasonography-guided needle biopsy of the liver mass, the patient was diagnosed with intrahepatic
sarcomatoid cholangiocarcinoma. Although we recommended debulking open-heart surgery for the prevention of sudden
death caused by massive pulmonary embolism, the patient and her family opted against surgery due to high operation-related mortality and old age. The patient later died of massive pulmonary embolism at another hospital a few weeks later.
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KEYWORD
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Intrahepatic sarcomatoid cholangiocarcinoma, Pulmonary embolism, Right ventricular thrombosis, Spindle cell, Tumor thrombus
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